Organization
STAGES OF RECOVERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN M MEDLEY BS BUSINESS (CEO)
(806) 412-4721
Entity
Organization
Contact information
Practice address
3513 50TH ST STE 101, LUBBOCK, TX 79413-4003
(806) 412-4721
Mailing address
3513 50TH ST STE 101, LUBBOCK, TX 79413-4003
(806) 412-4721
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3930-5031
HHSC STATE LICENSE
TX
Enumeration date
10/21/2015
Last updated
12/10/2024
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